Elevate Your Emergency Nursing Practice

014 You’re TOO Sweet! DKA Emergency w/Marc Probst, MD

“I find it very gratifying to treat because you can see the effects of your treatment right in front of your eyes. And your patients can go from very sick to well within a matter of hours.” – Marc Probst, MD

Who is Marc Probst, MD?

Courtesy of Marc Probst, MD

Marc Probst, MD, MS is an Academic Emergency Physician at The Mount Sinai Hospital in New York City.

Dr. Probst is funded by a career development grant from the National Institutes of Health (NIH).

Expected Outcomes

When can my patient eat?

Cerebral Edema

Symptoms

Headache

Altered Mental Status

Lethargy

Seizures

Treatment

Hob elevated to 30 degrees

Mannitol

Intubation if airway is a concern

CT Scan/MRI

Disposition/ED Throughput

These patients are admitted to a step-down or an ICU unit for the amount of nursing required. Once the anion gap has closed and remains closed, and your patient is STILL in the ED – talk to the provider and consider changing the bed assignment (Med Surg) if you’re still boarding this patient.